Individual
MADHU SUDAN RANGRAJ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
140 LOCKWOOD AVE, SUITE 103, NEW ROCHELLE, NY 10801-4915
(914) 632-9650
Mailing address
140 LOCKWOOD AVE, SUITE 103, NEW ROCHELLE, NY 10801-4915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
130100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00531131
—
NY
01
—
0807H
EMPIRE BCBS
NY
01
—
OD2739
HEALTHNET
—
01
—
WS860
OXFORD
—
Enumeration date
10/20/2005
Last updated
07/08/2007
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